| Commonwealth Quality Medical Management, Llc | |
|
387 Edgewood Ln Prestonsburg KY 41653-9196 | |
| (606) 769-6824 | |
| (606) 769-0086 |
| Full Name | Commonwealth Quality Medical Management, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 387 Edgewood Ln, Prestonsburg, Kentucky |
| Authorized Official Name and Position | Susan Justice (CO-OWNER) |
| Authorized Official Contact | 6067696824 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Commonwealth Quality Medical Management, Llc Po Box 1747 Prestonsburg KY 41653-5747 Ph: (606) 769-6824 | Commonwealth Quality Medical Management, Llc 387 Edgewood Ln Prestonsburg KY 41653-9196 Ph: (606) 769-6824 |
| NPI Number | 1609177021 |
|---|---|
| Provider Enumeration Date | 11/17/2010 |
| Last Update Date | 11/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609177021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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